Contract Pharmacy Details

WALGREEN CO.
CH041279R Rural Health Services Consortium, Inc.

Covered Entity Details

Entity Name

Rural Health Services Consortium, Inc.

Subdivision Name

H.C. Mobile Unit #1

Type

HRSA-Funded Health Center

340B ID

CH041279R

Entity Address

4966 Hwy 11 W
Rogersville, TN 37857-6028

Grant Number

H80CS00421

Participating Start Date

7/1/2018

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS #17569
1149 HIGHWAY 11W
BEAN STATION, TN 37708

Pharmacy Comments

Contract Details

Approval Date

1/12/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

LINDA W. BUCK, CHIEF EXECUTIVE OFFICER
(423) 272-9163 Ext: 8901

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/12/2024

340B Drug Pricing Program Database